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VIST PREFERRED PRACTICE PATTERNS

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					VIST PREFERRED PRACTICE PATTERNS
1.0     VISUAL IMPAIRMENT SERVICES TEAM (VIST)

1.1     VIST REVIEW

1.1.1   DEFINITION OF PROCEDURES

        Formal review procedures are completed including but
        not limited to:

        1)   Eye exam
        2)   Complete History and Physical Examination
        3)   Hearing Evaluation
        4)   Review of benefits, services and adjustment to
        blindness
1.1.2   WHO PERFORMS

        Members of the VIS Team or designated health care
        providers.
1.1.3   EXPECTED OUTCOMES

        The VIST Coordinator will obtain documentation
        of the veteran’s status of legal blindness.
        The VIS Team and/or VIST Coordinator will determine
        needs for blind aids and prosthetic equipment related
        to sight loss.

        The VIS Team assessment will include patient history,
        current skill levels, adjustment to blindness and
        current needs. It will result in a description of the
        veteran’s functional capabilities and limitations.

        The VIST Coordinator will develop a treatment plan
        which will include recommendations for other
        examinations, services and follow-up as indicated.

        The VIST Coordinator will inform each veteran of the
        full range of services for which he/she is eligible.

        Veterans and/or their caregivers will be able to
        identify and access national and community resources
        essential to enhancing their involvement in the home
        and community.



        1.1.4     CLINICAL INDICATION FOR PROCEDURE

        Upon referral, legally blind veterans are
        assessed for VIST services.
1.1.5   CLINICAL PROCESS

        Each veteran legally blind veteran will be
        invited to participate in a review of VIST
        services.

        Each VIST eligible veteran will be invited to
        participate in an annual review.
        A review of the veteran's medical records will be
        completed by the appropriate VIS Team member.

        The review components are to be offered at VA
        facilities and arranged by the VIST Coordinator.

        VIST medical exams will be conducted by assigned
        medical staff. All VIST medical exams will routinely
        include cholesterol, diabetes, and colo-rectal cancer
        screening and other tests as indicated. VIST exams
        should contain the required elements for blind
        rehabilitation referrals whenever possible.

        VIST eye exams will be conducted by assigned eye care
        professionals to assist in determining legal blindness.
        The exam will include best corrected central visual
        acuities and, when indicated, visual field testing will
        be conducted using a Goldmann III4e target.

        VIST hearing exams will be conducted by assigned
        audiology professionals to determine whether or not
        the veteran would benefit from hearing aids.

1.1.6   SETTING

        All elements of the VIST review will offered at
        a VA facility.
        1.1.7     DOCUMENTATION

        Documentation contains assessment results, veteran's
        goals, and specific recommendations.

        Recommendations may address the need for further
        assessment, follow up or referral.

        Results will be recorded in the medical record.

        The VA Record 10-1371, or an electronic equivalent,
        will be completed and filed on each veteran.


1.1.8   PROFESSIONAL POLICY AND RELATED REFERENCES

        M-2, Part XXIII
        VIST Desk Reference Manual, Volumes 1-3.
        VIST PREFERRED PRACTICE PATTERNS

2.0      VISUAL IMPAIRMENT SERVICES TEAM (VIST)

2.1      VIST REFERRAL FOR VA BLIND REHABILITATION TRAINING

2.1.1    DEFINITION OF PROCEDURES

         Formal referral procedures for VA Blind Rehabilitation
         are completed.

2.1.2   WHO PERFORMS

         VIS Team Coordinator and appropriate Team members.

2.1.3   EXPECTED OUTCOMES

        The VIST Coordinator will inform veterans of the full
        range of services and opportunities provided at VA
        blind rehabilitation facilities.

        Eligible blinded veterans will be encouraged and
        motivated by the VIS Team to apply and participate in
        VA blind rehabilitation programs.

        All required evaluations and examinations will be
        completed in a timely manner (not to exceed 6 months
        prior to the date of application).

        The VIST assessment will include in a
        description of the veteran’s functional
        capabilities and limitations.
        BRC applications will be completed for those veterans
        expressing a desire to participate in a VA blind
        rehabilitation program.



2.1.4   CLINICAL INDICATION FOR PROCEDURE

        Eligible veteran’s expressing an interest in blind
        rehabilitation.

2.1.5   CLINICAL PROCESS
        During the VIST Review evaluation, blinded veterans
        will be counseled and assessed as to the need for blind
        rehabilitation training.

        Blinded veterans should be encouraged and motivated to
        explore the benefits of blind rehabilitation by the VIS
        Team.

2.1.6   SETTING

        VA facility

2.1.7   DOCUMENTATION

        Documentation contains required VA forms,
        clinical evaluations, assessments and specific
        recommendations by VIS Team members and other
        healthcare providers. It will also include the
        veteran's goals.
        Recommendations may address the need for BRC program
        modifications to meet special needs of applicants.

        Appropriate documentation will be recorded in the
        medical record.

        The VA Record 10-1371, or an electronic equivalent,
        will be updated to reflect the status of the referral.

2.1.8   PROFESSIONAL POLICY AND RELATED REFERENCES

        M-2, Part XXIII
        VIST Desk Reference Manual, Vol. 3.
            VIST PREFERRED PRACTICE PATTERNS

3.0     VISUAL IMPAIRMENT SERVICES TEAM (VIST)

3.1     REVIEW OF BENEFITS & SERVICES

3.1.1   DEFINITION OF PROCEDURES

        Blinded veterans will be offered an annual review for
        VA and blindness related benefits and services for
        which they are eligible.

3.1.2   WHO PERFORMS

        VIST Coordinator, VIS Team members and
        designated staff.
3.1.3   EXPECTED OUTCOMES

        Veterans and/or their caregivers completing a VIST
        Review will be aware of all VA and blindness related
        services for which they are eligible.

        VIST will assist veterans in obtaining additional
        information, benefits and/or services for which they
        are eligible.

        The VIST Coordinator will inform veterans of the full
        range of services and opportunities provided at VA
        blind rehabilitation facilities.

3.1.4   CLINICAL INDICATION FOR PROCEDURE

        Veterans participating in a VIST Review or those
        veterans who express an interest in receiving benefits
        and services available for the blind.

3.1.5   CLINICAL PROCESS

        Based on the results of the VIST Review evaluations,
        blinded veterans will be counseled and educated
        concerning all VA and non-VA blindness related benefits
        and services for which they are eligible.

        VIST will provide assistance and guidance in
        helping veteran’s receive desired services
        and/or benefits for which they is eligible.
3.1.6   SETTING

        VA facility

3.1.7   DOCUMENTATION

        The medical record and or the VIST file will be updated
        to reflect the veteran’s status for all VA and
        blindness related services and benefits.

        Comprehensive rating data needs to be updated on VA
        Record 10-1371, or an equivalent electronic record.


3.1.8   PROFESSIONAL POLICY AND RELATED REFERENCES

        M-2, Part XXIII
        VIST Desk Reference Manual, Volumes 1-4.
            VIST PREFERRED PRACTICE PATTERNS

4.0     VISUAL IMPAIRMENT SERVICES TEAM (VIST)

4.1     EDUCATION & TRAINING OF VA STAFF

4.1.1   DEFINITION OF PROCEDURES

        VIST will provide initial and ongoing education and
        training on VIST and blindness to VA staff and
        volunteers.

4.1.2   WHO PERFORMS

        VIS Team Coordinator and appropriate Team members.

4.1.3   EXPECTED OUTCOMES

        Increased awareness of VIST and BRS services among VA
        staff.

        Increased referral of blinded veterans to VIST.

        Improved care and service to blinded veterans in VA
        facilities.

4.1.4   CLINICAL INDICATION FOR PROCEDURE

        All VA clinical and administrative personnel who may
        come in contact with blinded veterans.

4.1.5   CLINICAL PROCESS
        VIST will arrange and conduct in-service educational
        programs on VIST and blindness.

        VIST would target key clinical or administrative
        services that may have an impact on blinded veterans.
        4.1.6       SETTING/EQUIPMENT SPECIFICATIONS
        Educational programs will take place in VA facilities.
        Demonstration devices may include:

                Vision simulators
                Audio-visual equipment
                Canes
                Watches
                Low vision aids
                Other appropriate prosthetic devices.
        VIST should also develop and maintain educational
        material, including: brochures, posters, handouts, etc.


4.1.7   DOCUMENTATION

        VIST will maintain a record of in-service and
        educational programs conducted during the fiscal year.

        In-service and educational programs will be documented
        in the VIST Annual Narrative Report.

4.1.8   PROFESSIONAL POLICY AND RELATED REFERENCES

        M-2, Part XXIII
        VIST Desk Reference Manual, Volumes 1 and 4.

				
Lingjuan Ma Lingjuan Ma MS
About work for China Compulsory Certification. Some of the documents come from Internet, if you hold the copyright please contact me by huangcaijin@sohu.com